Title 42, The Public Health and WelfareRelease 119-110
§280c–3 Cooperative Agreements to States and Public Health Departments for Alzheimer’s Disease and Related Dementias
Title 42 › CHAPTER 6A — PUBLIC HEALTH SERVICE › SUBCHAPTER II — GENERAL POWERS AND DUTIES › Part K — Health Care Services in the Home and Public Health Programs for Dementia › subpart ii — programs with respect to alzheimer’s disease and related dementias › § 280c–3
Summary
The Secretary of Health and Human Services, working with the CDC and other agencies, must give cooperative agreements (grants with shared work) to State and local health departments and to Indian tribes and tribal groups. The money must help fight Alzheimer’s and related dementias by funding proven public-health actions like public education, early detection and diagnosis, cutting avoidable hospital visits, slowing cognitive decline, helping caregivers, supporting care planning, and other activities the Secretary or the CDC Director finds important. Applicants must send an application that explains their plan, how they will work with federal, tribal, state, and local programs and other groups, and how they will check if the work is working. Awards should favor projects that address health disparities and areas with the highest rates of dementia. Local health departments must provide 30% of the award from nonfederal sources (cash or value in services), though the Secretary can waive this for a year if the match would cause serious hardship. Funds cannot pay for services already covered by insurance, other health benefits, state programs, or prepaid health plans, and the Secretary must avoid funding the same work twice.
Full Legal Text
Title 42, §280c–3
The Public Health and Welfare, Source: USLM XML via OLRC
(a)In general
The Secretary, in coordination with the Director of the Centers for Disease Control and Prevention and the heads of other agencies, as appropriate, shall award cooperative agreements to health departments of States, political subdivisions of States, and Indian tribes and tribal organizations, to address Alzheimer’s disease and related dementias, including by reducing cognitive decline, helping meet the needs of caregivers, and addressing unique aspects of Alzheimer’s disease and related dementias to support the development and implementation of evidence-based interventions with respect to—
(1)educating and informing the public, based on evidence-based public health research and data, about Alzheimer’s disease and related dementias;
(2)supporting early detection and diagnosis;
(3)reducing the risk of potentially avoidable hospitalizations for individuals with Alzheimer’s disease and related dementias;
(4)reducing the risk of cognitive decline and cognitive impairment associated with Alzheimer’s disease and related dementias;
(5)improving support to meet the needs of caregivers of individuals with Alzheimer’s disease and related dementias;
(6)supporting care planning and management for individuals with Alzheimer’s disease and related dementias.
(7)supporting other relevant activities identified by the Secretary or the Director of the Centers for Disease Control and Prevention, as appropriate
(b)Preference
In awarding cooperative agreements under this section, the Secretary shall give preference to applications that focus on addressing health disparities, including populations and geographic areas that have the highest prevalence of Alzheimer’s disease and related dementias.
(c)Eligibility
To be eligible to receive a cooperative agreement under this section, an eligible entity (pursuant to subsection (a)) shall prepare and submit to the Secretary an application at such time, in such manner, and containing such information as the Secretary may require, including a plan that describes—
(1)how the applicant proposes to develop or expand, programs to educate individuals through partnership engagement, workforce development, guidance and support for programmatic efforts, and evaluation with respect to Alzheimer’s disease and related dementias, and in the case of a cooperative agreement under this section, how the applicant proposes to support other relevant activities identified by the Secretary or Director of the Centers for Disease Control and Prevention, as appropriate.
(2)the manner in which the applicant will coordinate with Federal, tribal, and State programs related to Alzheimer’s disease and related dementias, and appropriate State, tribal, and local agencies, as well as other relevant public and private organizations or agencies; and
(3)the manner in which the applicant will evaluate the effectiveness of any program carried out under the cooperative agreement.
(d)Matching requirement
Each health department that is awarded a cooperative agreement under subsection (a) shall provide, from non-Federal sources, an amount equal to 30 percent of the amount provided under such agreement (which may be provided in cash or in-kind) to carry out the activities supported by the cooperative agreement.
(e)Waiver authority
The Secretary may waive all or part of the matching requirement described in subsection (d) for any fiscal year for a health department of a State, political subdivision of a State, or Indian tribe and tribal organization (including those located in a rural area or frontier area), if the Secretary determines that applying such matching requirement would result in serious hardship or an inability to carry out the purposes of the cooperative agreement awarded to such health department of a State, political subdivision of a State, or Indian tribe and tribal organization.
(f)Non-duplication of effort
The Secretary shall ensure that activities under any cooperative agreement awarded under this subpart do not unnecessarily duplicate efforts of other agencies and offices within the Department of Health and Human Services related to—
(1)activities of centers of excellence with respect to Alzheimer’s disease and related dementias described in section 280c–4 of this title; and
(2)activities of public health departments with respect to Alzheimer’s disease and related dementias described in this section.
(g)Relationship to items and services under other programs
A State may not make payments from a cooperative agreement under subsection (a) for any item or service to the extent that payment has been made, or can reasonably be expected to be made, with respect to such item or service—
(1)under any State compensation program, under an insurance policy, or under any Federal or State health benefits program; or
(2)by an entity that provides health services on a prepaid basis.
Legislative History
Notes & Related Subsidiaries
Editorial Notes
Prior Provisions
A prior section 398 of act
July 1, 1944, ch. 373, title III, formerly § 399a, as added Oct. 22, 1965, Pub. L. 89–291, § 2, 79 Stat. 1066; renumbered § 399, Mar. 13, 1970, Pub. L. 91–212, § 10(c)(3), 84 Stat. 67; renumbered § 398,
July 23, 1974, Pub. L. 93–353, title II, § 204, 88 Stat. 373, which related to the continuing availability of appropriated funds, was classified to section 280b–10 of this title, prior to repeal by Pub. L. 99–158, § 3(b), Nov. 20, 1985, 99 Stat. 879.
Amendments
2018—Pub. L. 115–406, § 3(1), substituted “Cooperative agreements to States and public health departments for Alzheimer’s disease and related dementias” for “Establishment of program” in section catchline. Subsec. (a). Pub. L. 115–406, § 3(2), added subsec. (a) and struck out former subsec. (a) which provided that the Secretary would make grants to States for planning, establishing, and operating programs to provide care to Alzheimer’s patients. Subsecs. (b) to (e). Pub. L. 115–406, § 3(3), (5), added subsecs. (b) to (e) and struck out former subsec. (b). Prior to amendment, text of subsec. (b) read as follows: “The Secretary may not make a grant under subsection (a) to a State unless the State agrees to expend not less than 50 percent of the grant for the provision of services described in subsection (a)(2).” Former subsec. (c) redesignated (g). Subsec. (f). Pub. L. 115–406, § 3(7), which directed adding subsec. (f) at the end of the section, was executed by adding subsec. (f) before subsec. (g) as redesignated by Pub. L. 115–406, § 3(4), to reflect the probable intent of Congress. Subsec. (g). Pub. L. 115–406, § 3(6), which directed amendment of “subsection (f) (as so redesignated)” by substituting “cooperative agreement” for “grant”, was executed by making the substitution in introductory provisions of subsec. (g) as redesignated, to reflect the probable intent of Congress. See below. Pub. L. 115–406, § 3(4), redesignated subsec. (c) as (g). 1998—Subsec. (a). Pub. L. 105–392, § 302(a)(1), struck out “not less than 5, and not more than 15,” after “shall make” in introductory provisions. Subsec. (a)(2). Pub. L. 105–392, § 302(a)(2), inserted “who are living in single family homes or in congregate settings” after “disorders” and struck out “and” at end. Subsec. (a)(3), (4). Pub. L. 105–392, § 302(a)(3), (4), added par. (3) and redesignated former par. (3) as (4). 1990—Subsec. (a). Pub. L. 101–557, § 102(a), substituted “shall make not less than 5, and not more than 15, grants” for “shall make not less than 3, and not more than 5, grants”. Subsec. (a)(1). Pub. L. 101–557, § 102(b), substituted “with public and private organizations” for “by public and private organizations”.
Statutory Notes and Related Subsidiaries
Effective Date
Section effective Oct. 1, 1987, see section 701(a) of Pub. L. 100–175, set out as an
Effective Date
of 1987 Amendment note under section 3001 of this title.
Reference
Citations & Metadata
Citation
42 U.S.C. § 280c–3
Title 42, The Public Health and Welfare
Last Updated
Sep 23, 2026
Release point: 119-110